Intraocular Foreign Body of a Vitreous Cutter Tip Fragment

Young Chang Lee; Jung Hyun Park; Gwang Ju Choi; Dae Hyun Kim

doi:10.3341/jkos.2010.51.1.141

Journal List > J Korean Ophthalmol Soc > v.51(1) > 1008673

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Lee, Park, Choi, and Kim: Intraocular Foreign Body of a Vitreous Cutter Tip Fragment

Original Article

J Korean Ophthalmol Soc 2010;51(1):141-144.

Published online: 7 September 2010

DOI: https://doi.org/10.3341/jkos.2010.51.1.141

Intraocular Foreign Body of a Vitreous Cutter Tip Fragment

Young Chang Lee, MD, Jung Hyun Park, MD, Gwang Ju Choi, MD, PhD, Dae Hyun Kim, MD, PhD

Department of Ophthalmology, Chosun University College of Medicine, Gwangju, Korea

Address reprint requests to Dae Hyun Kim, MD, PhD Department of Ophthalmology, Chosun university hospital #588 Seoseok-dong, Dong-gu, Gwangju 501-717, Korea Tel: 82-62-228-3190, Fax: 82-62-225-9839, E-mail: eyelovehyun@hanmail.net

Received 8 June 2009 Accepted 8 September 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of intraocular foreign body of a vitreous cutter tip fragment.

Case summary:

A 60-year-old women was referred by her ophthalmologist with a two-day history of visual disturbance in her right eye. She had undergone pars plana vitrectomy, barrier laser and C3F8 gas injection due to pseudophakic rhegmatogenous retinal detachment in our retinal service center four months previously. Slit-lamp biomicroscopy of her right eye showed cornea stromal edema with Descemet membrane folding. Gonioscopic examination revealed a metallic foreign body in the direction of the 6-o' clock anterior chamber angle. Anterior chamber irrigation with successful removal of the metallic foreign body using intraocular foreign body forceps was performed. The removed intraocular foreign body was a vitrectomy cutter tip fragment 20 gauge in size and 3 mm in length. After surgery, the corneal stromal edema disappeared and her visual acuity in the right eye recovered.

Conclusions

Intraoperative breakage of vitreous cutter tips can occur and cause toxic ocular tissue reaction. Care should be taken against vitreous cutter tip breakage during vitrectomy.

Keywords: Intraocular foreign body, Vitreous cutter tip

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Figure 1.

(A) Slit lamp photograph. Stromal edema with Descemet's membrane folding is shown in the inferior cornea. (B) Specular microscopic findings. Endothelial cell count diminished.

Figure 2.

Gonioscopic examination showed a metallic foreign body in the direction of 6-o'clock anterior chamber angle.

Figure 3.

Removed foreign body is a fragment of vitreous cutter tip, 3-mm in length.

Figure 4.

(A) Slit lamp photograph. Stromal edema and Descemet's membrane folding disappeared. (B) Specular microscopic findings. Normal endothelial cell distribution is shown.

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